Tagged "therapy success"


Success Story | Lily and Vanessa

Posted by Deborah Grauzam on

Lily, 3 years 4 months old, Unilateral Cleft Lip and Palate

image2When I saw that my former supervisor from my job during college and graduate school was adopting another special needs child from China, I was glued to their journey (the family had adopted a boy with cleft lip/palate from China previously). I watched from my computer screen as the Shields family adopted another child with a cleft lip and palate. That little girl was Lily (pictured on the left). And oh my, I have learned so much from her!

She had many medical complexities, surgeries, and hospital stays in her first year home. I continued to follow her story and literally thought: “I need to find a way to work with this girl because I know I can help!” How was I going to help? Using my OPT skill set of course! I knew in my heart that using Oral Placement Therapy and a motor-based speech and feeding program would get her where we wanted her speech the most efficiently.

Finally, the time came for me to see Lily for therapy. She was 2 years 6 months when we started. She was communicating wants and needs by pointing, grunting, and whining. She had a g-tube but was able to eat orally, just not enough. I looked at her repertoire of speech sounds and we started at the beginning with /p/, /b/, /m/. She wasn’t getting adequate lip closure needed for consonant-vowel productions (such as “moo, bye, pa”). The first thing I did was create a sensory warm-up plan for her to bring increased awareness to her muscles in her mouth. I used a toothette and various exercises from Lori Overland’s “Feeding Therapy: A Sensory-Motor Approach” course, as well as exercises Monica Purdy taught in “A Three-Part Treatment Plan for Oral Placement Therapy” course that I took.

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Next we started the Straw Hierarchy to help with lip closure, lip rounding and protrusion. I explained to her family that while this does not look like “traditional” speech therapy, it will help her to get the motor plan of lip closure so we can generalize it to speech. In addition, we began the Bite Tube Hierarchy due to jaw weakness and asymmetry, as well as the Horn Hierarchy to build up her abdominal grading.

Lily’s family was beyond committed to the program I designed and the whole family got involved. Every week I tweaked her program plan as she moved up through the hierarchies. Each session we started with her sensory-motor warm up, followed by her OPT and feeding exercises, a small snack, and ended with mass production of speech sounds.

Her endurance during eating still needs improvement but it has come quite far since the start of therapy. Due to her improving health and no recent hospitalizations, she is off of her tube feeding! The little girl that was struggling with one syllable word productions is now speaking in 3-4 word sentences consistently. Currently Lily is on Straw #5, Horn #6, Bite Block #3 (step one), and 4 pennies on a tongue depressor. Next, I plan on introducing the Button Pull Program and working through the hierarchies since it has been so successful for her already.

What I love about the TalkTools program is how diverse it is. I can adapt techniques to work with a variety of populations whether it is Cleft Lip and Palate, developmental delay, Apraxia of Speech, and countless other diagnoses. I am so thankful to have OPT in my “speech therapy tool box”!

Vanessa~ Vanessa Anderson-Smith

Vanessa Anderson-Smith is a Speech-Language Pathologist born and raised in South Dakota. She received her Bachelor’s Degree at Augustana University and Master’s Degree from The University of South Dakota. In 2013 she began Anderson-Smith Speech Therapy, LLC. Her practice focuses on assessment and treatment of motor-based speech and feeding disorders among children and adults. Vanessa lives in Canton, South Dakota with her extremely supportive husband, Ryan.

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Success Story | Diane

Posted by Deborah Grauzam on

In celebration of 30 years of successful therapy, we asked you to share your success stories with us at the last ASHA Convention and the response was amazing! Here is Diane Felton’s inspiring testimonial.

“I’m Diane Felton. I’m a speech therapist in Durham, North Carolina. I first met Sara through a patient who was referred to me because the local therapist who has been seeing him said she did not believe in oral motor therapy. So I was fortunate enough to pick him up, and when I was asked about taking him on, I decided to look into TalkTools, and everything that I saw in the program made sense to me. So I agreed to take him on and was fortunate enough to have Sara as a co-treator really throughout the whole process of treating this patient. He was a seventeen-year-old who has been in a car accident, suffered a traumatic brain injury and was non-verbal. He was able to type using a communication typewriter kind of thing that he called “typer,” but he had no speech other than one word which is “ma.” He had been in therapy for two and a half years at that point, which was what caused his mom to kind of go out and look for something else, something she felt like he wasn’t getting in the therapy. She was frustrated and he was frustrated.

“They started the program with Sara and worked at home for six months just on building his strength. He couldn’t blow out a candle, he had really severe verbal apraxia ... so a lot of the initial steps focused on getting his strength back for speech, then later he started working on the apraxia piece which is kind of where I came in and worked with Sara’s guidance on getting him some sounds. It has been seven years since I started seeing this patient and he is completely verbal. He gave up his communication device about two years ago and he is doing great. We are still working on prosody, that’s the main thing that is keeping him from being a pretty normal speaker, he is also a little bit slow still, but he is intelligible to me almost 100% of the time. Occasionally I need him to clarify, but even unfamiliar listeners understand him most of the time. It was a really great experience working with Sara and getting to know this program.

“I have had other patients who have had great success. I saw a three-year-old who was focused on communication devices because she had no speech and basically everyone had decided that she was not going to talk. She had a diagnosis of autism, she was also a twenty-four week premie, one of triplets, and she had no speech. I used the TalkTools program with her and she had a very hard time getting the oral motor planning down, but TalkTools really helped her. It was about a month for her to get the word “up” and her mom asked if every word was going to take that long, but within three months she had a pretty good vocabulary, and a year later she was pretty much completely verbal and only was really working on speeding up her rate of speech which is still slow but she has done great.

“I have had lots of other patients who have done exceedingly well. Sara coming into my life was one of the greatest things that ever happened to me. I have loved the TalkTools program. I have been just so thrilled to be able to help people who come sort of as their last ditch effort and just kind of not sure if they should continue to even try, and TalkTools program has worked for them. So thank you Sara.” ~ Diane Felton, MA, CCC-SLP

We are incredibly appreciative of those who shared their stories, let us know if you have a story to tell.
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